alexa Ten years outcome analysis of corporeal plication for Peyronie's Disease


Medical & Surgical Urology

Author(s): Mufti GR, Fazili T

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OBJECTIVE: To evaluate the long-term results of plication of tunica albuginea in patients with penile curvature secondary to Peyronie's disease. PATIENTS AND METHODS: A total of 78 men with penile curvature secondary to Peyronie's disease underwent corporeal plication over a 10 year period. To assess the long-term results, a questionnaire-based study was undertaken on 73 of these patients with a time lapse of > 6 months after the operation. The questionnaire focussed on the presence or absence of penile deformity and pain, erectile function and the ability to perform sexual intercourse. RESULTS: Follow up ranged from 3 to 109 months with a median of 51 months. The cosmetic result was good or excellent (straight or almost straight penis) in 94% by 6 months. A total of 57 replies to the questionnaire were suitable for analysis. A total of 90% patients had a satisfactory cosmetic result, whereas only 71% reported a satisfactory functional result (straight or almost straight penis on erection with pain free penetration and normal sexual intercourse) in the long-term. In patients with > 3 years follow up, the cosmetic and functional success rates were 83% and 67%, respectively, and for patients with > 5 years follow up the corresponding figures were 82% and 71%, respectively. The main causes of functional failure were pain, erectile dysfunction and persisting deformity. There were no major complications associated with the procedure. CONCLUSIONS: Corporeal plication is an effective surgical option for the correction of penile deformity in patients with Peyronie's disease, with good cosmetic results and acceptable functional success rate in the long-term.

This article was published in Int Urol Nephrol and referenced in Medical & Surgical Urology

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